Please print and complete this form and mail it along with your donation to:
South Sarasota Co,. Inc.

Habitat for Humanity South Sarasota County, Inc.
280 Alligator Drive
Venice, FL 34293

Be sure to enclose your check or your credit card information.

DONOR INFORMATION

Name: ______________________________________________

Address: ____________________________________________

___________________________________________________

City: _______________________________________________

State: ________________ Zip: __________________________

E-Mail Address :_______________________________________

PLEASE INDICATE:

Enclosed is my check for $_________

Please charge my gift of $_________

Visa / Mastercard / American Express / Discover

Account No. ___________________________________

Exp. Date ___________

Signature _____________________________________

Phone Number ________________________________

Please make checks payable to Habitat for Humanity South Sarasota County, Inc.
All gifts are tax-deductible to the extent allowable by law.
For more information, call 941.493.6606.

Habitat for Humanity South Sarasota County, Inc. Thanks you for your donation.